Y23
Rifle, shotgun and larger firearm discharge, undetermined intent
Y23 is a non-billable ICD-10-CM code category for rifle, shotgun and larger firearm discharge, undetermined intent. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Y23.0 Shotgun discharge, undetermined intent; Y23.1 Hunting rifle discharge, undetermined intent; Y23.2 Military firearm discharge, undetermined intent; Y23.3 Machine gun discharge, undetermined intent and 2 more. Its coding notes include 1 Excludes2 entry.
7th characters
Every code below needs one of these.
The appropriate 7th character is to be added to each code from category Y23
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
An external cause code is never a principal or first-listed diagnosis. Its 7th character is assigned for each encounter and should match the injury or condition code.
If the intent is unknown or unspecified, it is coded as accidental. Undetermined intent codes are used only when the record says the intent cannot be determined.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- airgun (Y24.0)
Notes
Also from chapter/block level (1 note)
- This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.
More specific codes under Y23 6
- Y23.0Shotgun discharge, undetermined intent7th char needed
- Y23.1Hunting rifle discharge, undetermined intent7th char needed
- Y23.2Military firearm discharge, undetermined intent7th char needed
- Y23.3Machine gun discharge, undetermined intent7th char needed
- Y23.8Other larger firearm discharge, undetermined intent7th char needed
- Y23.9Unspecified larger firearm discharge, undetermined intent7th char needed